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PICA

Effective January 1, 2006, there will be an annual deductible of $100 per person for Injectable & Chemotherapy medications. This deductible is independent of any other deductibles.

Additional changes that have already taken effect:

Effective July 1, 2005, the PICA Prescription Drug Program will only cover two (2) categories of drugs: Injectables and Chemotherapy.

New Co-payments for Injectible & Chemotherapy Medications

Retail Pharmacy (up to 30-day supply)

$10 for generic medications

$25 for preferred brand name (formulary) medications

$45 for non-preferred brand name (non-formulary) medications*

Mail Order Pharmacy (up to 90-day supply)

$20 for generic medications

$50 for preferred brand name (formulary) medications

$90 for non-preferred brand name (non-formulary) medications*

*If you choose a non-preferred brand name medication that has a generic equivalent, you will be charged the difference in cost between the non-preferred brand name drug and the generic drug plus the non-preferred co-pay.

Effective July 1, 2005, Coverage for Psychotropic and Asthma medications returned to the PBA Funds Office through Caremark. If you have a prescription refill with NPA/Express for either a Psychotropic or Asthma medication, you will need a new prescription after July 1, 2005 to file with Caremark. Your Caremark coverage does not require mandatory mail order for either Psychotropic or Asthma medications.

ACTIVE MEMBERS:

Please note, both Psychotropic and Asthma medications will be subject to the standard Caremark co-payments as follows:

$5 for generic medications

$5 for formulary medications

$8 for non-formulary medications

RETIRED MEMBERS (Non Medicare):

Please note, both Psychotropic and Asthma medications will be subject to the standard Caremark co-payments as follows: